He Said What? Guided Cognitive Reframing About the Co‐Resident Father/Stepfather–Adolescent Relationship

We studied young adolescents' seeking out support to understand conflict with their co‐resident fathers/stepfathers, and the cognitive and affective implications of such support‐seeking, phenomena we call guided cognitive reframing. Our sample included 392 adolescents (M_age = 12.5, 52.3% female) who were either of Mexican or European ancestry and lived with their biological mothers and either a stepfather or a biological father. More frequent reframing was associated with more adaptive cognitive explanations for father/stepfather behavior. Cognitions explained the link between seeking out and feelings about the father/stepfather and self. Feelings about the self were more strongly linked to depressive symptoms than cognitions. We discuss the implications for future research on social support, coping, guided cognitive reframing, and father–child relationships.     

Cooperative Accounts: Avoiding Conflict and Repairing Social Relations

The analytical concept of accounts has long presented sociologists with an excellent tool for the study of talk. Nonetheless, studies of accounts often neglect the fact that cooperation is common when an account for untoward behavior is constructed. Many studies tend to flatten the process of how accounts are created by routinely describing them as being “offered” by offenders and then “evaluated” by reproachers. We assume that accounts are often negotiated between parties as a means of avoiding conflict and preserving a relationship. As such, this paper develops the concept of cooperative accounts that are offered to (or projected upon) offenders as a means of explaining their untoward behavior. While also examining hostile accounts, this paper concentrates on developing the cooperative account in order to investigate more fully Scott and Lyman's (1968) argument that accounts are crucial for managing conflict and maintaining social order. Because offering cooperative accounts to others is a routine social interaction their examination provides an opportunity to reanchor the study of accounts back into the symbolic interactionist tradition.     

Evaluating the Effectiveness of the Reframing Technique in Psychodynamic Social Work Practice

This multiple case study responds to the need for process and effectiveness studies in mental health social work practice through providing an in-depth analysis of the operationalisation of the reframing technique from a psychodynamic perspective. The practitioner–researcher studies (1) the way reframing (theory) is applied in the work with the parents of six latency aged children suffering from child separation anxiety disorder (practice) and (2) the effects of the technique on the parents and their relationship with the child. Reframing provided relational meaning and accordingly modified the parental ambivalence to bring the child for assessment, the parental inability to set boundaries on child aggressive behaviours, the parental child overprotection behaviours, the separation anxiety symptoms of the child, the parental phobic anxiety, the emotionally painful parental psychosocial histories, and the parental couple relationship problems. The study establishes that the concept of reframing is worth further exploration in mental health social work practice.     

Mental Health Consumer and Carer Participation in Professional Education: ‘Getting There Together’ for Children of Parents with Mental Illness and Their Families

Abstract

‘Getting There Together’ is a professional education seminar developed as a collaborative project by professionals, mental health consumers and carers aimed at service providers who work with children of parents with mental illness and their families. The need for such professional education concerning this group is well recognised and the project reported herein was initiated by a reference group of professionals, consumers and carers focusing on children of parents with mental illness in the Eastern region of Melbourne (Victoria, Australia). The project began and continued as a collaborative effort during development and implementation, which ensured the experience, point of view and voice of consumers and carers was central to the material prepared, and at the time of seminar presentations. Seminar participants were from the family welfare, child care and supported housing sectors. Seminar participants found the first person accounts of consumers and carers the most helpful aspects of the seminars because they gave new insights into the experiences of carers and of mental health consumers as parents, as well as an understanding of ‘… the whole family, and how the child fits into the picture’.     

Mental health and the media: From illness to wellbeing

The media are a main source of information about mental health for many people, and an ever‐growing body of literature is evaluating their coverage of the topic. To help keep track of such research, several comprehensive but now dated literature reviews have been published. We assess more recent studies (2007–2017) and suggest future directions by integrating (a) the “circuit of mass communication” model from media and communication studies which posits that production, content, and reception need to be analysed for an in‐depth understanding of the media, (b) the holistic view of mental health as comprising both illness and wellbeing, and (3) the critical psychiatry literature questioning the assumptions underlying psychiatric knowledge and practice. We find that recent studies have focused on content and “the illness side” of mental health by examining the representation of particular mental disorders and events involving individuals with specific diagnoses. We identify as a promising development the growing interest in “the wellbeing side” of mental health whereby authors have started to analyse recovery messages. We invite more production and reception research and more critical content studies which use diagnostic labels cautiously and analyse the representation of people with mental health problems as the victims of violence.     

Investigating the mediational role of negative urgency in the anxiety sensitivity pathway to cannabis problems and dependence symptoms among postsecondary students

Objectives: Anxiety sensitivity (AS) is associated with cannabis use. People high in AS may use cannabis to cope with elevated anxiety. This association is consistently supported in the literature. However, we have much to learn about the mechanisms of the AS pathway to cannabis use. We aimed to examine negative urgency—the tendency to act impulsively when distressed—as a mediator of the association of AS with cannabis problems and cannabis dependence symptoms. We hypothesized that negative urgency would uniquely mediate the association of AS with cannabis outcomes after controlling for other facets of impulsivity. Participants and Methods: Postsecondary students (N = 91; Fall 2012) completed online self-reports. To participate, students needed to be ≥18 years old, enrolled in postsecondary studies, and needed to report current cannabis use. Results: Negative urgency uniquely mediated associations between AS and cannabis problems and dependence symptoms. Conclusions: Our findings suggest a mechanistic role of negative urgency in the AS pathway to cannabis misuse.     

Effect of cigarette smoking on sexual functions,psychological factors,and disease activity in male patients with ankylosing spondylitis

Objective: This study aims to investigate the effect of smoking on sexual functions in AS patients.

Patients and methods: A total of 67 male AS patients with a median age of 34 years (range: 18–57) reporting sexual activity at least for the past 4 weeks period were included. Patients were divided into smokers (Group 1, n?=?47) and non-smokers (Group 2, n?=?20). Fagerström test for nicotine dependence, smoking history, exhaled carbon monoxide test were recorded for smoking AS patients. Visual analogue scale (VAS), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Metrology Index (BASMI), Bath Ankylosing Spondylitis Functional Index (BASFI), Ankylosing Spondylitis Quality of Life (ASQoL), International Index of Erectile Function (IIEF), Beck Depression Inventory (BDI) were filled for both groups.

Results: There was no significant difference between smokers and non-smokers in all evaluation parameters. BASMI scores were significantly lower in the mild dependency subgroup as compared to those with moderate or severe dependency (p?=?.005 and p?=?.007, respectively). Total IIEF score and IIEF categories correlated significantly with BASDAI, BASFI, BASMI, ASQoL, pain, fatigue, and cumulative smoking. BDI showed an inverse correlation with the IIEF score and IIEF category (p?r?=?–0.520, p?r?=?–0.508, respectively).

Conclusions: Sexual function in AS patients is associated with the pain, fatigue, disease activity, functional status, quality of life, depression as well as the cumulative exposure to smoking, and that sexual functions tend to decline with increasing degree of cigarette dependency.     

Gender Nonconformity,Homophobic Peer Victimization,and Mental Health: How Same-Sex Attraction and Biological Sex Matter

We assessed whether homophobic name-calling accounts for the relationship between gender nonconformity and mental health (social anxiety and psychological distress) in a sample of 1,026 Dutch adolescents (boys: n = 517) ages 11 to 16 (M_age = 13.4). We also explored whether this hypothesized mediation differs by sexual attraction and biological sex. Data were collected by means of paper-and-pencil questionnaires at five secondary schools located in urban areas in the Netherlands. Mediation analysis indicated that gender nonconformity was related to both social anxiety and psychological distress partially via homophobic name-calling. Moderated mediation analysis further showed that the mediating role of homophobic name-calling varied according to levels of same-sex attraction (SSA) and biological sex. The mediation effects increased in magnitude when levels of SSA increased and were significant only for adolescents with mean and high levels of SSA. The mediation effects were significant for boys and girls in general, although the mediation effects were stronger for boys than for girls. Our findings emphasize the importance of research and school-level interventions to focus on factors that promote acceptance of cross-gender behavior among adolescents.     

Symbolic interaction theory and the cognitively disabled: A neglected dimension

Symbolic interactionists have by and large not explored how individuals with mental illnesses—specifically, delusional misidentification syndromes—are able to exercise the cognitive factors necessary for successful interaction. Such factors include: recognition of self and others, situated interpretation, inferring others’ cognitive and emotional states, anticipating what others might say or do, empathizing, maintaining a cogent belief system, etc. What needs to be addressed is how the mentally ill manage—and fail to manage—these cognitively-informed activities as they slip more and more into cognitive and existential chaos, and the associated loss of meaningful dialogue with self and others. Clinical accounts of the cognitively dysfunctional could widen and deepen our understanding of cognition, belief states, self, and self-other relations, central concepts for symbolic interactionists. Accordingly, this paper is as much a critique of symbolic interactionism as a contribution to a humanistic social psychology.     

Men's Sexual and Relational Adaptations to Erectile Dysfunction After Prostate Cancer Treatment

This study investigated how men adapt to erectile dysfunction and other sexual side-effects of prostate cancer treatment. The study recruited nonheterosexual and heterosexual men using an anonymous, international, online survey (N = 558). This article focuses on a qualitative analysis of answers (n = 348) to one open-ended question on sexual practices after treatment. Five themes emerged: (a) recovery of erectile function; (b) reframing sexual practices; (c) the importance of partners; (d) exploring anal sex; (e) the use of masturbation. The findings suggest that men should explore varied sexual options. Partners are also important in the overall recovery of men's sexual lives.     

Parental Divorce and Child Mental Health Trajectories

A process‐oriented approach to parental divorce locates the experience within the social and developmental context of children's lives, providing greater insight into how parental divorce produces vulnerability in some children and resiliency in others. The current study involves prospectively tracking a nationally representative sample of Canadian children of ages 4–7 and living with two biological parents at initial interview in 1994 (N = 2,819), and comparing the mental health trajectories of children whose parents remain married with those whose parents divorce by 1998. Results from growth curve models confirm that, even before marital breakup, children whose parents later divorce exhibit higher levels of anxiety/depression and antisocial behavior than children whose parents remain married. There is a further increase in child anxiety/depression but not antisocial behavior associated with the event of parental divorce itself. Controlling for predivorce parental socioeconomic and psychosocial resources fully accounts for poorer child mental health at initial interview among children whose parents later divorce, but does not explain the divorce‐specific increase in anxiety/depression. Finally, a significant interaction between parental divorce and predivorce levels of family dysfunction suggests that child antisocial behavior decreases when marriages in highly dysfunctional families are dissolved.     

Why are Depressive Symptoms More Prevalent Among The Less Educated? The Relevance of Low Cultural Capital and Cultural Entitlement

Analyzing nationally representative survey data collected in the United States in 2014 (n?=?1,932), we formulate and test a novel explanation for the educational gradient in depressive symptoms. We theorize that status as cultural capital drives this gradient in addition to well-established economic and social factors, via the feelings of cultural entitlement it inspires. Therefore, we use structural equation modeling to decompose the education effect. We demonstrate that in addition to economic (job security and income) and social factors (embeddedness in the neighborhood), cultural capital indeed accounts for the educational gradient in depressive symptoms via cultural entitlement. We conclude that for understanding social gradients in mental health it is vital to be sensitive for the cultural mechanisms that status as cultural capital can inspire. Based on our findings we propose suggestions for further research.     

Mental illness as metaphor in Hua-ling Nieh and Li-hua Yu's Chinese-language American novels

Abstract

This article focuses on two fictional immigrant characters who appear in the Chinese-language American novels Sang Ching Yu Tau Hong (Mulberry and Peach) by Hua-ling Nieh and You Jian Zong Lu, You Jian Zong Lu (Palm Trees Again, Palm Trees Again) by Li-hua Yu respectively. Both protagonists suffer from identity crises that lead to mental disorders. These disorders, resulting partly from their immigrant experience, should be read as a metaphor for the damage that can be caused by discrimination and cultural dislocation, not as a statement that immigrants are somehow inherently unbalanced. A character's slip into mental illness may occur because of the character's mistreatment and subsequent inability to adjust, but the character's mental illness may also be seen as an active resistance to assimilation and as a reaffirmation of the character's 'Chineseness'.     

Supporting Adoptive Parents: A Study on Personal Self-Care

This study explored the personal self-care practices of adoptive parents (N?=?229) in one southeastern state. Overall, findings indicate that adoptive parents only engage in moderate modest self-care practices. Significant differences in self-care practices were detected by health status (self-report) and current financial status. In summary, the healthier one perceived themselves to be and the more financially stable they were, the more they tended to engage in self-care practices. Data suggest the need for entities involved with potential and/or adoptive parents need to explicitly engage adoptive parents in education about self-care and training in support of self-care practices. As well, data indicate the need for reframing self-care from an ancillary activity to an integrated tool to assuage the challenges facing adoptive parents.     

Improving physical and mental health in frontline mental health care providers: Yoga-based stress management versus cognitive behavioral stress management

The need for brief, low-cost, easily disseminable, and effective interventions to promote healthy lifestyles is high. This is especially true for mental health providers. The authors developed two studies to compare the impacts of Cognitive Behavioral Stress Management (CBSM) and Yoga-Based Stress Management (YBSM) interventions for health care professionals. Study 1 offered an 8-week YBSM intervention to 37 mental health care participants and collected health data pre- and post. Study 2 offered YBSM and CBSM classes to 40 randomly assigned mental health care providers and collected mental and physical health data at four time points. In Study 1, using t tests, the YBSM intervention affected a number of mental and physical well-being indices pre to post. In Study 2, using linear mixed modeling, YBSM and CBSM groups both improved significantly (p?p?F?=?4.34), physical activity (YBSM increased more, p?F?=?3.47), overall mental health (YBSM increased more, p?F?=?5.32), and secondary traumatic stress (YBSM decreased more, p?F?=?4.89). YBSM and CBSM appear to be useful for health care professionals’ mental and physical health. YBSM demonstrates some benefit above and beyond the extremely well studied and empirically supported CBSM, including increased physical activity, overall mental health, and decreased secondary traumatic stress benefits.     

CONSTRUCTING A POLITICAL SPECTACLE:

Murray Edelman (1988) argued that media accounts evoke a spectacle that is a construction — an interpretation reflecting the social situations of the agents that produced it. Events take on meanings that perpetuate political roles, statuses and ideologies. Examining this perspective, this study compares the accounts of the “Crisis in the Gulf” constructed by a leading American newspaper, The New York Times, and a leading Indonesian newspaper, Kompas. The research bears on two related questions. First, is the account of this political event offered by each of these newspapers better understood as a symbolic representation of political reality or as a symbolic construct reflecting and serving political, economic and ideological interests? Second, do the accounts offered by the two newspapers differ in this regard?The New York Times operates within the context of a “free press” system while Kompas operates as a “developmental press.” Comparison suggests whether formal media system norms affect media news content.     

Social marking and the mental coloring of identity: Sexual identity construction and maintenance in the United States

This article theoretically develops the concepts of social markingand mental coloringas processes in assigning and maintaining other-defined sexual identities in the United States. While most studies of sexual identity focus exclusively on sexual orientation as the foundation for identity construction, I demonstrate that contemporary sexual identities are formed along six hierarchically arranged dimensions represented as continuums. These dimensions include (1) quantity of sex, (2) timing of sex, (3) level of perceived enjoyment, (4) degree of consent, (5) orientation, and (6) social value of agents. Along these dimensions, the social marking process is used to construct discrete identities at each extreme. Social marking is a rigid, asymmetrical classification process that accents one side of a contrast as unnatural, thereby tacitly naturalizing the unmarked side. Mental coloring intensifies the rigid contrast by figuratively painting all members of the marked category under a single stereotypical image. I introduce two ideal-typical classification conventions for assigning marked identities: the mental one-drop ruleand the mental entire-ocean rule.These conventions maintain the rigidity of the marking process by preventing identity categories from overlapping. I conclude that the cognitive sociological processes outlined in this article are generalizable to the broader study of identity constructions. Ultimately the social marking of identity legitimates unequal treatment of marked categories by creating the illusion that they are less natural than the unmarked. An earlier version of this paper was presented at the Eastern Sociological Society's annual meeting, Philadelphia, PA, March 1995.     

The Case of Mandy: Applying Holland's Theory and Cognitive Information Processing Theory

In this article the authors discuss the application of Holland's theory (Holland, 1997) and cognitive information processing theory (CIP; Peterson, Sampson, & Reardon, 1991) to the case of a college student named Mandy who was deciding about a major and a future career. The authors also describe how a career planning class, the Self-Directed Search (SDS; Holland, Powell & Fritzsch, 1994), the Career Thoughts Inventory (CTI; Sampson, Peterson, Lenz, Reardon, & Saunders, 1998), and Improving Your Career Thoughts: A Workbook for the Career Thoughts Inventory (Sampson, Peterson, Lenz, Rearson, & Saunders, 1996) were used as interventions to allow Mandy to become aware of her negative thinking patterns and to begin the process of reframing these thoughts. The outcome of Mandy's case, her personal reactions to this article, and practical implications for other service providers, are discussed.     

Adolescent accounts of the UK National Lottery and scratchcards: an analysis using Q-sorts

The study examined adolescents' accounts of the UK National Lottery and scratchcards. Q-sorts were used to examine the views of 62 participants aged between 11 and 15 years of age. Findings identified four distinct accounts in relation to the National Lottery (Moral Opposition, Luck Seeking, Rationalist, & Uncertainty), and four distinct accounts in relation to scratchcards (Scepticism, Thrill-Seeking, Rationalist, & Libertarian). Some of the accounts identified described the UK National Lottery and scratchcards as bona fide forms of gambling. Reports indicated that adolescents were pessimistic about the chances of winning large sums of money, while other accounts demonstrated gambling misperceptions particularly in relation to their belief in luck and the laws of probability. It is argued that to fully understand why adolescents take part in these activities it is important to consider the diverse ways that adolescents represent these activities. These differing representations will have consequences for measures aimed at reducing, preventing, or treating adolescent problem gambling. The utility of Q-sorts as a technique for examining the views of problem and non-problem gamblers is also discussed.     

Real men, real husbands: Caregiving and masculinities in later life

Drawing on data from in-depth personal interviews with a sample of fifty-three older men caring for their impaired wives, authors report findings on these men's caregiving experience, specifically on the way they see themselves as men within such role. Through analytic methods based upon content analysis and open coding, authors found that when describing their gendered understanding of themselves participants evidenced several negotiations with the dominant masculine ideology in order to maintain their sense of masculinity and legitimate their presence in a feminine role. This was accomplished by reframing their definition of a man and reinforcing that of a husband and by retaining varying degrees of power over the caregiving relationship. The social visibility of the role within particular gendered community-based social networks was found to be important in shaping these older men's masculinities.